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TREM2 在心肌梗死后炎症中异质巨噬细胞群中的保护作用。

The Protective Role of TREM2 in the Heterogenous Population of Macrophages during Post-Myocardial Infarction Inflammation.

机构信息

Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

Cardiovascular Research Institute for Intractable Disease, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

出版信息

Int J Mol Sci. 2023 Mar 14;24(6):5556. doi: 10.3390/ijms24065556.


DOI:10.3390/ijms24065556
PMID:36982629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10051125/
Abstract

Advances in interventions after myocardial infarction (MI) have dramatically increased survival, but MI remains the leading cause of heart failure due to maladaptive ventricular remodeling following ischemic damage. Inflammation is crucial in both the initial response to ischemia and subsequent wound healing in the myocardium. To date, preclinical and clinical efforts have been made to elucidate the deleterious effects of immune cells contributing to ventricular remodeling and to identify therapeutic molecular targets. The conventional concept classifies macrophages or monocytes into dichotomous populations, while recent studies support their diverse subpopulations and spatiotemporal dynamicity. The single-cell and spatial transcriptomic landscapes of macrophages in infarcted hearts successfully revealed the heterogeneity of cell types and their subpopulations post-MI. Among them, subsets of Trem2 macrophages were identified that were recruited to infarcted myocardial tissue in the subacute phase of MI. The upregulation of anti-inflammatory genes was observed in Trem2 macrophages, and an in vivo injection of soluble Trem2 during the subacute phase of MI significantly improved myocardial function and the remodeling of infarcted mice hearts, suggesting the potential therapeutic role of Trem2 in LV remodeling. Further investigation of the reparative role of Trem2 in LV remodeling would provide novel therapeutic targets for MI.

摘要

心肌梗死后(MI)干预措施的进步显著提高了生存率,但由于缺血性损伤后适应性心室重构,MI 仍然是心力衰竭的主要原因。炎症在缺血的初始反应和随后的心肌伤口愈合中都很关键。迄今为止,已经进行了临床前和临床研究,以阐明导致心室重构的免疫细胞的有害作用,并确定治疗性分子靶点。传统概念将巨噬细胞或单核细胞分为两种群体,而最近的研究支持它们的多种亚群和时空动态性。在梗死心脏中的巨噬细胞的单细胞和空间转录组图谱成功揭示了细胞类型及其亚群在 MI 后的异质性。其中,在 MI 的亚急性期,鉴定出募集到梗死心肌组织的 Trem2 巨噬细胞亚群。在 MI 的亚急性期体内注射可溶性 Trem2 可显著改善心肌功能和梗死小鼠心脏的重构,表明 Trem2 在 LV 重构中的潜在治疗作用。进一步研究 Trem2 在 LV 重构中的修复作用将为 MI 提供新的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/f3660d750ad8/ijms-24-05556-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/82945d96c77e/ijms-24-05556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/38c94d86c103/ijms-24-05556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/7e7be10b4636/ijms-24-05556-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/f3660d750ad8/ijms-24-05556-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/82945d96c77e/ijms-24-05556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/38c94d86c103/ijms-24-05556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/7e7be10b4636/ijms-24-05556-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f3c/10051125/f3660d750ad8/ijms-24-05556-g004.jpg

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引用本文的文献

[1]
Choroidal Neovascularization Is Suppressed With Activation of TREM2 in Mononuclear Phagocytes-Brief Report.

Arterioscler Thromb Vasc Biol. 2025-5

[2]
The various roles of TREM2 in cardiovascular disease.

Front Immunol. 2025-2-27

[3]
Role of triggering receptor expressed on myeloid cells 2 in the pathogenesis of non-alcoholic fatty liver disease.

World J Hepatol. 2025-2-27

[4]
Bone-marrow macrophage-derived GPNMB protein binds to orphan receptor GPR39 and plays a critical role in cardiac repair.

Nat Cardiovasc Res. 2024-11

[5]
Dynamic Changes in Ion Channels during Myocardial Infarction and Therapeutic Challenges.

Int J Mol Sci. 2024-6-12

[6]
Macrophages in cardiovascular diseases: molecular mechanisms and therapeutic targets.

Signal Transduct Target Ther. 2024-5-31

[7]
Macrophage-based therapeutic approaches for cardiovascular diseases.

Basic Res Cardiol. 2024-2

[8]
From multi-omics approaches to personalized medicine in myocardial infarction.

Front Cardiovasc Med. 2023-10-30

本文引用的文献

[1]
Role of the CCL2-CCR2 axis in cardiovascular disease: Pathogenesis and clinical implications.

Front Immunol. 2022

[2]
CD4 T-lymphocytes exhibit biphasic kinetics post-myocardial infarction.

Front Cardiovasc Med. 2022-8-25

[3]
Spatiotemporal dynamics of macrophage heterogeneity and a potential function of Trem2 macrophages in infarcted hearts.

Nat Commun. 2022-8-6

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Role of Inflammation in Cardiac Remodeling After Acute Myocardial Infarction.

Front Physiol. 2022-6-28

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Left ventricular remodelling post-myocardial infarction: pathophysiology, imaging, and novel therapies.

Eur Heart J. 2022-7-14

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Triggering receptor expressed on myeloid cells-2 promotes survival of cardiomyocytes after myocardial ischemic injury through PI3K/AKT pathway.

Cardiovasc Diagn Ther. 2022-2

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Progress of Single-Cell RNA Sequencing Technology in Myocardial Infarction Research.

Front Cardiovasc Med. 2022-2-17

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Two-faced Janus: the dual role of macrophages in atherosclerotic calcification.

Cardiovasc Res. 2022-10-21

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Single-cell transcriptomic analyses of cardiac immune cells reveal that Rel-driven CD72-positive macrophages induce cardiomyocyte injury.

Cardiovasc Res. 2022-3-25

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Immune Cells and Immunotherapy for Cardiac Injury and Repair.

Circ Res. 2021-5-28

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